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Help me diagnose my wife's knee MRI results (1 Viewer)

Personally, I'd go for it. Sure beats a 60 grand bill with 6-8 weeks of missed work at a minimum. 
OT. kind of, but I notice a huge variance in cost of knee replacement not only by state but within cities. HUGE, like $14k - $70K. Any idea what's up with that? I'm no fan of Alabama, but I'd fly her there to save 20% of 50K

 
OT. kind of, but I notice a huge variance in cost of knee replacement not only by state but within cities. HUGE, like $14k - $70K. Any idea what's up with that? I'm no fan of Alabama, but I'd fly her there to save 20% of 50K
The prosthesis should be the same maybe some differences in brand but it's not like you're buying a cheap 2 door hatchback knee versus a Porsche. I'm unfamiliar with such a discrepancy and it might be more due to demographics than anything else. Around here they're all roughly the same. Some private practice places are a bit cheaper because you don't have a big hospital charge associated with everything. Those patients do just fine. So my advice would be first to look at a private group that does surgery out of their own "hospital." If you're considering going out of state for a procedure research the physician and maybe just ask them straight out what the difference is and why can they be cheaper. Often it's because they don't have the overhead bigger hospital groups have. 

FWIW... she's at a great age for a knee replacement. Young enough to get a "second go" at living life and being active. And if she needs another one in 15-20 years, she's still doing just fine. The problem is people wait way too long and then their body is so broken down every where else (hips- need those done then!) and they never really get back to being very active... at that point they are just wanting to be functional. Yes, prolotherapy might buy her 5 years and then it's a Medicare thing, so that's always nice. I think you're asking great questions and doing some great research in the best decision. 

 
The prosthesis should be the same maybe some differences in brand but it's not like you're buying a cheap 2 door hatchback knee versus a Porsche. I'm unfamiliar with such a discrepancy and it might be more due to demographics than anything else. Around here they're all roughly the same. Some private practice places are a bit cheaper because you don't have a big hospital charge associated with everything. Those patients do just fine. So my advice would be first to look at a private group that does surgery out of their own "hospital." If you're considering going out of state for a procedure research the physician and maybe just ask them straight out what the difference is and why can they be cheaper. Often it's because they don't have the overhead bigger hospital groups have. 

FWIW... she's at a great age for a knee replacement. Young enough to get a "second go" at living life and being active. And if she needs another one in 15-20 years, she's still doing just fine. The problem is people wait way too long and then their body is so broken down every where else (hips- need those done then!) and they never really get back to being very active... at that point they are just wanting to be functional. Yes, prolotherapy might buy her 5 years and then it's a Medicare thing, so that's always nice. I think you're asking great questions and doing some great research in the best decision. 
@shuke is there a Cadillac Porsche of artificial knees? Is there much or any variance in price correlated to quality? Are you okay disclosing the retail price of the joints?

 
@shuke is there a Cadillac Porsche of artificial knees? Is there much or any variance in price correlated to quality? Are you okay disclosing the retail price of the joints?
Anything that has been on the market for a while, or is in a company's same "line" should be good.  I'd be wary of something brand new without any clinical data.  

Hospitals view total knees as a commodity and will have negotiated prices with the suppliers, and I'm assuming the ASP is somewhere in the 5-7k range.  The disparity you are citing probably has to do with the hospitals and nothing with the implant itself.

 
Just had knee replacement surgery last April. Broke a tib/fib near the knee that fragged the cartilage. I had three surgeries on my leg in a little over a year. The knee replacement was the most painful surgery and issue I ever had. I have like four more months for total recovery.

Best thing I used for pain, other than opiates/Gabapentin that I currently use: THC/CBD extracts I vape with a small pen with cartridges. I used tinture as well. My poop smelled like a grow house using tincture lol. I’d add it to my morning coffee, sometimes eating an edible brownie. 

Thank God for legalized cannabis. Good times

 

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